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21 Cards in this Set

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Omeprazole

Hydrogen pump inhibitor at gastric parietal cells; anti secretory; blocks final step of acid production

Acid unstable; enteric coated; oral administration

Aspirin

1) Analgesic and anti rheumatic; 2) antipyretic; 3) anti platelet; 4) anti-inflammatory

Oral or rectal administration; enteric coated; high dose elimination is zero order


1) By inhibition of prostaglandin synthesis 3) Inhibition of thromboxane A2 (when given at low dose)

Heparin

Anti coagulant

Poorly absorbed from GI trac; IV or subcutaneous administration


Mechanism: Inhibits thrombus and clot formation by blocking prothrombin to thrombin and fibrinogen to fibrin conversion.

Insulin

Antidiabetic, hormone

Unstable in the GI tract; IV or subcutaneous administration


Mechanism: Promotes storage of the body's fuels and facilitates transport of metabolites and ions (K+) through cell membrane

Rocuronium

Neuromuscular blocker

IV administration

Chlorpromazine

Antihistamine

Competitively blocks effects of histamine at H1 receptor sites.


Has atropine-like antipruritic (anti-itch) and sedative effects.

Clonazepam

Anti epileptic, benzodiapine

Benzodiapines potentiate effect of GABA (an inhibitory neurotransmitter)

Phenytoin

Anti epileptic without general CNS depression

Stabilises neural membranes and prevents hyperexcitability caused by excessive stimulation; limits spread of seizure activity from an active focus; for treating cardiac arrhythmia esp those induced by digitalis; arrhythmic props very similar to licodaine's

Clopidogrel

Antiplatlet, ADP receptor antagonist

Inhibits platelet aggregation by blocking ADP receptors on platelets, preventing clumping of platelets.

Codeine

Narcotic agonist analgesic, antitussive (relieves cough)

Acts at opioid receptors on CNS to produce analgesia, euphoria and sedation.


Acts in medullary cough centers to depress cough reflex

Phenobarbital

Barbiturate (long acting), sedative, hypnotic, anticonvulsant, anti epileptic

Rifampin

Anti tuberculosis

Reduces plasma conc of HIV proteases inhibitor leading to its ability to suppress HIV replication

Carbamazepine

Anti epileptic

Mechanism not understood.


May be related to its ability to inhibit polysynaptic responses and block post tetanic potentiation.


Is chemically related to tricyclic antidepressants (TCAs)

Ketoconazole

Inhibits rxn for which it is not a substrate

Omeprazole

Potent inhibitor of 3 CYP isozymes for warfarin metabolism. Leads to increased anticoagulant effect causing risk of bleeding

Erythromycin

Macrolide antibiotic

Ritonavir

Anti retroviral medication

Nifedipine

Ca2+ channel blocker, anti anginal agent, antihypertensive

Clarithromycin

Macrolide antibiotic

Inhibits protein synthesis

Simvastatin

Antihyperlipidemic, HMG CoA inhibitor

Grapefruit juice

Inhibits CYP3A4, which metabolises nifedipine, clarithromycin and simavastatin